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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 013419717
Report Date: 05/12/2022
Date Signed: 05/12/2022 05:11:43 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
This is an official report of an unannounced visit/investigation of a complaint received in our office on
02/23/2022 and conducted by Evaluator Phyllis Dyer
COMPLAINT CONTROL NUMBER: 02-CC-20220223164536
FACILITY NAME:THURSTON, THERESAFACILITY NUMBER:
013419717
ADMINISTRATOR:THURSTON, THERESAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(510) 287-6276
CITY:OAKLANDSTATE: CAZIP CODE:
94605
CAPACITY:14CENSUS: 0DATE:
05/12/2022
UNANNOUNCEDTIME BEGAN:
04:30 PM
MET WITH:Theresa ThurstonTIME COMPLETED:
05:22 PM
ALLEGATION(S):
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9
Licensee hit day-care children.
INVESTIGATION FINDINGS:
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13
LPA Dyer met with Licensee Theresa Thurston regarding the above allegation that Licensee hit day care children. Present today is the licensee and her minor assistant. No children are present.
During the course of the investigation, interviews were conducted. Contradictory statements have been made by both parties. This agency has investigated the complaint alleging Licensee hit day-care children. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur. Therefore, the allegation is Unsubstantiated. Exit interview conducted. Appeal rights were discussed and given. This report must be kept available for public review for 3 years. Notice of Site Visit was posted.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Loretta DysonTELEPHONE: (510) 695-0243
LICENSING EVALUATOR NAME: Phyllis DyerTELEPHONE: (510) 725-7006
LICENSING EVALUATOR SIGNATURE:

DATE: 05/12/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/12/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
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